Basic Information
| Provider Information | |||||||||
| NPI: | 1821179482 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOSLER | ||||||||
| FirstName: | GINGER | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | NP, MSN, RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6046 WHIPPLE AVE NW | ||||||||
| Address2: | |||||||||
| City: | NORTH CANTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 447207616 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304331478 | ||||||||
| FaxNumber: | 3303055047 | ||||||||
| Practice Location | |||||||||
| Address1: | 830 AMHERST RD NE | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | MASSILLON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446468518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3308376825 | ||||||||
| FaxNumber: | 3308303255 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2006 | ||||||||
| LastUpdateDate: | 11/27/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | RN280527 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 2695070 | 05 | OH | MEDICAID |